Texas Retina Associates

LBN: Texas Retina Associates
Texas Retina Associates is an health care organization with primary practice located at 4517 98Th St , Lubbock TX 79424-5013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Texas Retina Associates can be contacted via phone (806) 792-0066, or through Brockette, Jefferey T. via phone (214) 692-6941.

Contact Information

Primary practice address
4517 98Th St Lubbock TX 79424-5013
Phone: (806) 792-0066
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brockette, Jefferey T.
Phone: (214) 692-6941

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1093750853
LBN Legal business name Texas Retina Associates
DBA Doing business as
Authorized official Brockette, Jefferey T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Dec 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093750853 NPPES
Texas MEDICAID 094850703
Texas MEDICAID G4476

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